Physician at Home Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PHYSICIAN AT HOME INC

Practice address

7923 Garden Grove Blvd
Garden Grove, CA 92841-4225

Phone

(714) 596-0368

Fax

(714) 591-8265

NPI assigned

Nov 11, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vu D Tran, MD

Title

MD/President

Phone

(714) 496-4207

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1124663455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5907 CERRITOS AVE UNIT 2325",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906308716",
            "telephone_number": "714-799-5858",
            "fax_number": "714-799-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7923 GARDEN GROVE BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928414225",
            "telephone_number": "714-596-0368",
            "fax_number": "714-591-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN AT HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-11",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "VU",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "714-496-4207",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A138753",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Marie Phung
• Hao My Phung
• Jenny Phung, OTR/L
• Steve Phung, PHARM D
• PHV 2 Rcfe LLC
• Physicianpartnersipa, Inc.
• Physicians Choice Surgicenter, LLC
• Meghan Lyyn-Deibert Pickens, BCBA
• Lakishia M Pickett
• Raygenald Jacques Pierre, COTA/L

• Urgent Care Clinic/Center in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.